METHODS: Retrospective review of all HIE cases identified in a tertiary level hospital (Hospital Universitario la Paz, Madrid) between 2014 and 2021.
RESULTS: 36 Cases of HIE were identified. Most cases corresponded to males (94%) with a median age of 45 years. 10 patients (29.4%) were PWH and 20 (56%) were men who had sex with men. Although the clinical manifestations were very heterogeneous, the most frequent was chronic diarrhea (47%), and up to 25% of the subjects had clinical proctitis. 39% percent of patients had been diagnosed with an STI in the previous two years, this characteristic being more frequent in PWH (90% vs. 28%; p < 0.01) than in patients without HIV infection. The STI most frequently associated with a diagnosis of HIE was syphilis (31%).
CONCLUSIONS: HIE is frequently diagnosed with other STIs and affects mostly men who have sex with men, which supports that this entity could be considered as a new STI.
方法:回顾性审查在三级医院中确定的所有HIE病例(SphospitalUniversitariolaPaz,马德里)在2014年至2021年之间。
结果:共确诊36例HIE。大多数病例对应于男性(94%),中位年龄为45岁。10例(29.4%)为PWH,20例(56%)为男男性行为者。尽管临床表现非常异质,最常见的是慢性腹泻(47%),高达25%的受试者患有临床直肠炎。在过去的两年中,有39%的患者被诊断出患有性传播感染。这一特征在PWH中更为常见(90%与28%;p<0.01)高于未感染HIV的患者。与HIE诊断最常见的STI是梅毒(31%)。
结论:HIE经常被诊断为其他性传播感染,并且主要影响与男性发生性关系的男性,这支持该实体可以被视为新的STI。